Exam 2: MH 701 / MH701 (Latest
) Psychopharmacologic /
Neuroscience Foundations of Mental
Health Care | Module 4 & 5
Questions and Answers | 100%
Correct - Frontier
Question:
Normal lithium parameters (lab values)
Answer:
0.6 to 1.2
Question:
Toxic lithium parameters (lab values)
Answer:
1.5 or higher
,Question:
Sever lithium toxicity parameters (lab values)
Answer:
Over 2.0
Question:
Your pt is taking lamotrigine and Depakote. You expect the doses of
lamotrigine will need to be higher or lower?
Answer:
Lower
*Remember...Depakote increases plasma levels of lamotrigine
Question:
Your pt is taking lamotrigine and carbamazepine. You expect the doses of
lamotrigine will need to be higher or lower?
Answer:
Higher
*Remember...carbamazepine will lower plasma levels of lamotrigine
,Question:
The following symptoms indicate what?
Moderate tremor
Falling asleep during conversation
Nystagmus
Hyperreflexia
Ataxia
Answer:
Lithium toxicity
Question:
The following teaching points are important with which medication?
Stay hydrated
Monitor carefully if sick or diet changes
Lower doses if exercise increases
Regulate salt intake
Caution if taking diuretics/NSAIDS
Answer:
Lithium
*remember...lithium is excreted in the kidneys and is dependent on
prostaglandins, which NSAIDS will suppress.
, Question:
Monitor lithium levels for a pt on a stable dose how often?
Answer:
6-12 months
Question:
Important labs to check every 6-12 months while a pt is on lithium
Answer:
BMI
Kidney fx
TSH
Question:
If a pt is experiencing lack of appetite while taking lithium but has no signs of
toxicity. What do you recommend?
Answer:
Decrease dose/hold lithium or increase sodium intake.
*remember...both of these will be TEMPORARY
) Psychopharmacologic /
Neuroscience Foundations of Mental
Health Care | Module 4 & 5
Questions and Answers | 100%
Correct - Frontier
Question:
Normal lithium parameters (lab values)
Answer:
0.6 to 1.2
Question:
Toxic lithium parameters (lab values)
Answer:
1.5 or higher
,Question:
Sever lithium toxicity parameters (lab values)
Answer:
Over 2.0
Question:
Your pt is taking lamotrigine and Depakote. You expect the doses of
lamotrigine will need to be higher or lower?
Answer:
Lower
*Remember...Depakote increases plasma levels of lamotrigine
Question:
Your pt is taking lamotrigine and carbamazepine. You expect the doses of
lamotrigine will need to be higher or lower?
Answer:
Higher
*Remember...carbamazepine will lower plasma levels of lamotrigine
,Question:
The following symptoms indicate what?
Moderate tremor
Falling asleep during conversation
Nystagmus
Hyperreflexia
Ataxia
Answer:
Lithium toxicity
Question:
The following teaching points are important with which medication?
Stay hydrated
Monitor carefully if sick or diet changes
Lower doses if exercise increases
Regulate salt intake
Caution if taking diuretics/NSAIDS
Answer:
Lithium
*remember...lithium is excreted in the kidneys and is dependent on
prostaglandins, which NSAIDS will suppress.
, Question:
Monitor lithium levels for a pt on a stable dose how often?
Answer:
6-12 months
Question:
Important labs to check every 6-12 months while a pt is on lithium
Answer:
BMI
Kidney fx
TSH
Question:
If a pt is experiencing lack of appetite while taking lithium but has no signs of
toxicity. What do you recommend?
Answer:
Decrease dose/hold lithium or increase sodium intake.
*remember...both of these will be TEMPORARY
